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Fast Facts Newsletter - December (Special Edition) 2025
HealthPartners·MN·Medical Policy
Effective date
Feb 1, 2026
We identified it
Jun 19, 2026
Summary
HealthPartners is implementing a new refund recovery process that will show credit balances on provider accounts and generate Negative Vendor letters instead of standard remits. Multiple medical policy updates take effect immediately or February 1, 2026, including changes to SNF criteria, inpatient care guidelines, and various coverage policies.
Action Required
Immediately: Review accounts for new credit balance displays and expect Negative Vendor letters instead of standard remits when balances are negative. By February 1, 2026: Update prior authorization processes for SNF admissions to use new InterQual October 2025 criteria for applicable subsets. Update inpatient care authorization to use InterQual criteria instead of MCG Health guidelines. For panniculectomy procedures, ensure colored photographs are submitted with all requests. Review transplant indication coverage updates for bone marrow and stem cell procedures.